Engineering Department Ph: 636-477-6600, Ext. 1670 (AT&T)
St. Peters City Hall Ph: 636-278-2244, Ext. 1670 (Century Tel)
One St. Peters Centre Boulevard Fax: 636-477-9077
St. Peters, MO 63376 www.stpetersmo.net
Permit # _____________
Application for Plan Examination & Site Development Permit
Address: City: State: Zip:
Contractor: Phone: Email:
Address: City: State: Zip:
Permission is requested to:
Type of Improvement: Attachment(s):
Grading Storm Sewer Line Plans/Prints
Street Utility Excavation Hydraulic Calculations
Water Line Curb Cut/Driveway Service Extension Agreement
Sanitary Sewer Other:____________ Other:__________________________________
Pursuant to the above application, permission is granted under the following conditions:
Any person violating any of the following conditions or willfully failing to comply with the requirements of same, shall be subject to forfeiture of their bond placed with
the City of St. Peters.
a. Inspection fee shall be paid to the City of St. Peters.
b. Failure to notify the City 24 hours prior to construction can result in a stop-work order and revocation of this permit.
c. A protective lane for traffic shall be provided at all times.
d. All evacuated areas beneath and within two feet of the pavement shall be backfilled with Granular Material and compacted to 90% maximum density as determined by
the "Modified AASHO T-180 Compaction Test" (ASTM D-1557-70). All other areas may be backfilled with excavated material placed in the 8" maximum thickness
lifts, free of frozen particles, and compacted to 90% of maximum density as determined by ASTM D-1557-70.
e. The City's Water Department shall be notified of any connections to the existing system.
f. All sanitary precautions shall be taken in the handling of the water main when it is exposed. Chlorination of the exposed main shall be verified and appropriate contact
time insured prior to flushing of the main. This sterilization process will be rigidly enforced.
g. Pressure tests of any new water mains shall be accomplished and verified prior to permitting water to flow from the City's water system and making any service taps to
h. If more than one (1) acre of grading is involved, a NPDES permit must be obtained from the Missouri Department of Natural Resources (MDNR).
i. Contact Missouri One-Call System, Inc. before any excavation begin; however, just contacting Missouri One-Call System does not relieve the contractor from their
responsibility of checking with the Recorder of Deeds for owners/operators of all underground utilities in the area.
j. Street construction requires notification when street is within two feet of subgrade. Inspection and approval of subgrade of all streets shall be accomplished before
placement of sub-base.
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent, and
we agree to conform to all applicable laws of this jurisdiction.
Name (Please Print):
Signature of Applicant: Date: